Community Pharmacy

 A pharmacy (also called drugstore in American English or "community pharmacy" or chemist in Commonwealth English) is a retail shop which provides pharmaceutical drugs, among other products. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to counsel patients about prescription and over-the-counter drugs or about healthcare and wellness issues. A typical pharmacy would be in the commercial area of a community. Mail-order dispensing is a recent development.

In most countries, a retail outlet for presctiption drugs is subject to legislation; with requirements for storage conditions, staff qualifications, equipment, record keeping (especially of controlled drugs) and other matters, all specified in the legislation. It was once the case that pharmacists stayed within the premises of compounding/dispensing medications, but there has been an increasing trend towards the use of trained pharmacy technicians, with the pharmacist spending more time communicating with patients. Pharmacy technicians are now more dependent upon automation to assist them in their new role dealing with patients' prescriptions and patient safety issues.

Pharmacies are typically required to have a qualified pharmacist on duty at all times when they are open. It is also often a requirement for the owner of a pharmacy to be a registered pharmacist, but that is not the case in all jurisdictions: where permitted, many retailers (including supermarkets and mass merchandisers) now include a pharmacy as a department of their store.

Likewise, many pharmacies are now rather grocery store-like  in their design. In addition to medicines and prescriptions, many now sell a diverse arrangement of additional items such as cosmetics, shampoo, office supplies, confections, snack goods, durable medical equipment, greeting cards, and provide photo processing services.

Community pharmacies offer a unique added value by building direct relationships with their customers. They are able to provide more personalized, dedicated care to local members of their community and even offer enhanced services such as Medication Therapy Management (MTM), Medication Synchronization, and compounding. With the aid of pharmacy management systems and different integrated technologies, these smaller pharmacies are able to keep up with their large-scale competition.

Community pharmacists' understanding of ethics, confidentiality, patient autonomy, trustworthiness, and reliability are essential in community practice and must influence their decision making should an ethical dilemma arise. In some countries, community pharmacists may be asked to compromise on their values and ethical issues may arise not only because of patients' or physicians' request but may also because of their employers' intrusion. Individual factors such as age, gender, work experience, and educational level and organizational factors such as the number of pharmacists in a pharmacy and location of pharmacy may affect the ethical perspectives of community pharmacists.

The American Association of Colleges of Pharmacy recommends that consumers choose a pharmacy at which they can have a consulting relationship with the pharmacist. Anyone using drugs benefits when they have easier access to a pharmacist. Being timely includes both processing the request quickly and having drug stock available to fill the prescription. Some consumers need drugs delivered to their home, perhaps by mail, and many select a pharmacy that offers that service. Different pharmacies may charge different prices for the same drugs, so shopping for lower prices may identify a pharmacy offering better value. In addition to fulfilling prescriptions, a pharmacy might offer preventive healthcare services like vaccinations. Up-to-date technology at a pharmacy can assist a patient with prescription reminders and alerts about potential negative drug interactions, thereby reducing medical errors.

The International Pharmaceutical Federation has declared their vision of a community based-pharmacist:

  • An expert in pharmaceutical care, pharmacotherapy, and health promotion
  • A professional communicator with patients, other healhcare providers, and decision makers
  • Deliver high quality products, services, and communication
  • Document their work and communicate the outcome to professional colleagues.
Community-based pharmacists' responsibilities include: checking and dispensing of prescription drugs, providing advice on drug selection and usage to doctors and other health professionals and counseling patients in health promotion, disease prevention, and the proper use of medicines.

In most countries regulations govern how dispensaries may operate, with specific requirements for storage conditions, equipment, and record keeping.

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Picture from Pixabay.

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